Michael J Walter, MD | |
12303 Depaul Dr, Bridgeton, MO 63044 | |
(314) 344-6000 | |
(314) 514-6020 |
Full Name | Michael J Walter |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 34 Years |
Location | 12303 Depaul Dr, Bridgeton, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629096359 | NPI | - | NPPES |
208882001 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 103849 (Missouri) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | 103849 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Anderson Hospital | Maryville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anderson Medical Group Llc | 5193792018 | 120 |
Entity Name | Granite City Clinic Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255387957 PECOS PAC ID: 6406747906 Enrollment ID: O20040323001668 |
Entity Name | Anderson Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700807716 PECOS PAC ID: 5193792018 Enrollment ID: O20040910001137 |
Entity Name | Granite City Hospitalist Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669926424 PECOS PAC ID: 8527356591 Enrollment ID: O20161006000282 |
Mailing Address | Practice Location Address |
---|---|
Michael J Walter, MD 999 Executive Parkway Dr, Ste 210, Saint Louis, MO 63141-6336 Ph: (314) 514-6000 | Michael J Walter, MD 12303 Depaul Dr, Bridgeton, MO 63044 Ph: (314) 344-6000 |
Robert M Fischer, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Radiology Dept, Bridgeton, MO 63044 Phone: 314-770-9393 Fax: 314-770-9997 | |
Dr. Ashfaq Ullah, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 12255 De Paul Dr Ste 500, Bridgeton, MO 63044 Phone: 314-209-5180 | |
Sean T Mclaughlin, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 12277 De Paul Dr, Suite 504, Bridgeton, MO 63044 Phone: 314-298-3893 Fax: 314-851-4408 | |
Dr. Raymond Frederick Mohrman Jr., MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 12266 De Paul Dr Ste 300, Bridgeton, MO 63044 Phone: 314-291-8824 | |
Navid S Siddiqui, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 600, Bridgeton, MO 63044 Phone: 314-209-5100 | |
Robert Byrne, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr, Suite 700, Bridgeton, MO 63044 Phone: 314-739-4166 Fax: 314-739-2485 | |
Melvin Boris Saltzman, D.O. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 12277 De Paul Dr, Ste 404, Bridgeton, MO 63044 Phone: 314-770-1000 Fax: 314-770-2456 |